Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

University of Maryland Community Medical Group, Inc

Organization Family Medicine Physician · NPI 1053166512

University of Maryland Community Medical Group, Inc provides Family Medicine Physician services in Denton, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1140 Blades Farm Rd Ste 101
Denton, MD 21629-3488
Phone: (410) 479-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053166512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nicholson — Ao · (410) 337-1602
NPI enumeratedApril 18, 2024
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924

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